感知刺激对高血压脑出血术后昏迷患者格拉斯哥昏迷评分和功能障碍评分的价值

The effects of perceived stimulation on the Glasgow coma score and dysfunction score of patients with coma after hypertensive cerebral hemorrhage

目的研究感知刺激护理对高血压脑出血术后昏迷患者的格拉斯哥昏迷评分(GCS)和功能障碍评分(DFS)的价值。方法选取2017年12月至2020年4月收治的高血压脑出血术后昏迷患者64例为研究对象,按照患者入院序号单双分组,双数为参照组32例,奇数为研究组32例。其中参照组行常规护理,研究组应用感知刺激护理。观察2组患者干预后6个月其神经功能、脑电图评分(EEG)、苏醒情况及并发症。结果干预后研究组GCS、EEG评分高于参照组[(7.02±0.68)分,(6.58±0.64)分;(7.55±0.34)分,(7.12±0.87)分](P<0.05);研究组DFS评分低于参照组[(8.65±0.51)分,(9.02±0.66)分](P<0.05)。研究组苏醒时间低于参照组[(16.25±1.12)d,(17.26±1.74)d](P<0.05);研究组苏醒率高于参照组[87.50%,65.63%](P<0.05)。研究组并发症发生比例较参照组低[15.63%,40.63%](P<0.05)。结论为高血压脑出血术后昏迷患者提供感知刺激护理能改善患者格拉斯哥昏迷评分,功能障碍评分和对改善患者预后有十分重要的意义。

Objective To investigate the effects of perceived stimulation nursing on the Grall stage coma score and dysfunction score of patients with coma after hypertensive cerebral hemorrhage.Methods A total of 64 patients with hypertensive intracerebral hemorrhage who were treated in our hospital from December 2017 to April 2020 were enrolled in the study,who were divided into control group and research group according to the odd or even serial numbers on admission,with 32 cases in each group.The patients control group were treated by conventional nursing,however,the patients in research group were treated by sensory stimulation nursing.The neurological function,EEG score,recovery status and the incidence of complications were observed and compared between the two groups.Results After intervention,the GCS and EEG scores in research group were significantly higher than those in control group(P<0.05),however,the DFS scores in research group were significantly lower than those in control group(P<0.05).Moreover the palinesthesia time in research group was significantly shorter lower than that in control group(P<0.05),but,the palinesthesia rate in research group was significantly higher than that in control group(87.50%vs 65.63%,P<0.05).In addition incidence rate of complications in research group was significantly higher than that in control group(15.63%vs 40.63%,P<0.05).Conclusion The perceived stimulation nursing can improve the Gralar stage coma score and dysfunction score of patients with coma after hypertensive cerebral hemorrhage,which is of great significance in improving the prognosis of patients.